This study was undertaken to introduce an innovative approach to cognitive rehabilitation intervention (Goal Management Training- GMT) delivery, through a web-based platform administered to adults with cerebrovascular disease (CVD) or suffering from CVD risk factors who presented with executive function impairments. The feasibility of this approach was investigated by developing a semi-quantitative-qualitative tool to measure therapist competence and group engagement adapted from the Cognitive Therapy adherence-to-protocol scale. Results from two raters analyzing random web-based GMT session recordings showed no compromise in any aspect measured. In addition, the efficacy of the intervention was established using neuropsychological and functional outcome measures, with significant results observed on the Goal Attainment Scale functional measure. To our knowledge, this study is the first of its kind to a) employ videoconferencing technology to overcome accessibility barrier to cognitive rehabilitation and b) develop an adherence to protocol tool to measure various aspects of GMT.
| Identifer | oai:union.ndltd.org:TORONTO/oai:tspace.library.utoronto.ca:1807/35604 |
| Date | 11 July 2013 |
| Creators | Fahmi, Halla |
| Contributors | Black, Sandra, Turner, Gary R. |
| Source Sets | University of Toronto |
| Language | en_ca |
| Detected Language | English |
| Type | Thesis |
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